Quantitative
Functional Lung Imaging with Synchrotron Radiation using Inhaled
Xenon as Contrast Agent
<
br>
W. Thomlinson1, S. Bayat1,2, G. Le Duc1,
S. Monfraix1, G. Berruyer1, T. Brochard1,
C. Nemoz1, L. Porra3, P. Suortti3,
C.G. Standertskjöld-Nordenstam4 and A.R.A. Sovijärvi5
1European Synchrotron Radiation Facility,
BP 220, F-38043 Grenoble,
France
2TIMC-PRETA, UMR CNRS 5525, Laboratoire de Physiologie, Université
Joseph Fourier, Faculté de Médicine, Domaine de la Merci, F-38700
La Tronche, France
3Department of Physics, POB 64, FIN-00014 University of Helsinki,
Finland
4Department of Radiology, University of Helsinki Central Hospital,
POB 340, FIN-00029 HUS, Finland
5Department of Clinical Physiology and Nuclear Medicine, Helsinki
University Central Hospital, POB 340, FIN-00029 HUS, Finland
|
Small
airways play a key role in the distribution of ventilation, and in
the matching of ventilation to perfusion. The purpose of this study
is to introduce an imaging method that allows the measurement of regional
lung ventilation and to evaluate the function of airways with a small
diameter.
The experiments are performed at the Medical Beamline of the European
Synchrotron Radiation Facility. Monochromatic synchrotron radiation
beams are used to obtain quantitative, respiration-gated, K-Edge subtraction
images of lungs and airways in anae
sthetized and mechanically ventilated
rabbits using inhaled stable xenon (Xe) gas as contrast agent. Two-dimensional
projection and tomographic images are obtained showing spatial distribution
of Xe concentrations within the airspaces, as well as the dynamics
of filling with Xe.
Bronchi down to 1 mm in diameter are visible both in the subtraction
radiographs and in tomographic images. Absolute concentra
tions of
Xe gas are calculated within the tube carrying the inhaled gas mixture,
small and large bronchi, and lung tissue. Local time constants of
ventilation with Xe can be obtained by following the evolution of
gas concentration in sequential computed tomography images.
The results of these initial studies indicate that KES imaging of
lungs with Xe gas as contrast agent has a great potential in studie
s
of the distribution of ventilation within the lungs and of airway
function.
|